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Related Experiment Videos

Intraocular irrigating solutions for pars plana vitrectomy. A prospective, randomized, double-blind study

W E Benson, J G Diamond, W Tasman

    Archives of Ophthalmology (Chicago, Ill. : 1960)
    |June 1, 1981
    PubMed
    Summary

    Glutathione-bicarbonate-Ringer's solution (BSS Plus) reduced early corneal swelling after vitrectomy compared to lactated Ringer's solution. No long-term differences or complications were observed between the solutions.

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    Area of Science:

    • Ophthalmology
    • Corneal Physiology
    • Surgical Solutions

    Background:

    • Corneal swelling is a potential complication following intraocular surgery.
    • Choosing the appropriate irrigation solution is crucial for minimizing ocular tissue trauma.
    • Pars plana vitrectomy requires sustained intraocular irrigation, necessitating safe and effective solutions.

    Purpose of the Study:

    • To compare the effects of glutathione-bicarbonate-Ringer's solution (BSS Plus) versus lactated Ringer's solution on corneal swelling post-vitrectomy.
    • To evaluate the safety and efficacy of BSS Plus in minimizing early postoperative corneal edema.

    Main Methods:

    • Prospective, randomized, double-blind study design.
    • Comparison of BSS Plus and lactated Ringer's solution for intraocular irrigation during pars plana vitrectomy.

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  • Assessment of corneal thickness at the first and seventh postoperative days.
  • Main Results:

    • BSS Plus demonstrated significantly less corneal swelling on postoperative day one compared to lactated Ringer's solution.
    • No significant difference in corneal thickness was observed between the two solutions by postoperative day seven.
    • No correlation found between corneal thickness increase and irrigation duration, volume, or lens status.
    • No persistent corneal complications were reported for either solution.

    Conclusions:

    • BSS Plus offers an advantage in reducing early postoperative corneal swelling after pars plana vitrectomy.
    • Both BSS Plus and lactated Ringer's solution appear safe for intraocular irrigation, with no long-term adverse effects on the cornea.
    • The choice of irrigation solution may impact immediate postoperative corneal hydration, but not long-term outcomes.